Job type full-time remote
Not provided by employer
Full job description
Privia health™ is a national physician platform transforming the healthcare delivery experienceWe provide tailored solutions for physicians and providers, creating value and securing their futureThrough high-performance physician groups, accountable care organizations, and population health management programs, privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.
Overview of the role:
Under the direction of the director or manager of revenue cycle management, the accounts receivable (ar) manager is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming salesforce cases and providing information as requested or properly authorizedThe ar manager will take steps necessary to resolve all claim issues or questions that escalate to the rcm teamResolution of salesforce cases and management of issues and the team resolving the cases is a key element in this role.
Primary job duties:
Management of the accounts receivable (ar) including analysis of the aged ar, looking for root cause issues; writing rules where appropriate to stop errors from occurring.
Denial management – investigating denial sources, resolving and appealing denials which may include contacting payer representatives.
Makes independent decisions regarding claim adjustments, resubmission, appeals, and other claim resolution techniques.
Collaborate internal teams (performance, operations, sales) as well as care center staff when appropriate.
At times, support large care center go lives which may include overnight travel.
Works closely with our revenue optimization team, to support efforts to ensure reimbursement is in line with payer contract agreementsPerforms denial analysis utilizing the trizetto platform.
Work directly with practice consultants or physicians to ensure optimal revenue cycle functionality
Drive toward achievement of department’s daily and monthly key performance indicators (kpis), requiring a team focused approach to attainment of these goals.
Other duties as assigned.
Education: high school graduate
Experience: 3+ years experience in a physician medical billing office
Must understand the drivers of revenue cycle optimal performance and be able to investigate and resolve complex claims.
Advanced microsoft excel skills
Experience working with athenahealth’s emr required
Must provide accessibility to private, quiet work space with high-speed internet to effectively work remotely
Must comply with hipaa rules and regulations
Interpersonal skills & attributes:
Comfortable speaking in front of groups
Excellent written and verbal communication
Willingness to train and mentor other team members
Great time management skills
Ability to work independently and multi-task in a fast paced environment
Technically capable and savvy
Ability to constantly remain in a stationary position
Ability to constantly operate a computer and other office productivity machinery, such as computer and printer
Ability to read and use close vision, including the ability to do so on a computer screen
Ability to frequently communicate and exchange information
Ability to frequently adjust focus
technical requirements (for remote workers):
In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 mbps for download speed and 3 mbps for the upload speedThis should be acquired prior to the start of your employmentThe best measure of your internet speed is to use online speed tests like https://www.bing.com/search?q=speedtestThis gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirementsWork with your internet provider if you have questions about your connectionEmployees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
All your information will be kept confidential according to eeo guidelines.
technical requirements (for remote workers):
In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 mbps for download speed and 3 mbps for the upload speedThis should be acquired prior to the start of your employmentThe best measure of your internet speed is to use online speed tests like https://www.speedtest.net/This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirementsWork with your internet provider if you have questions about your connectionEmployees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
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